Individual provider Active NPI

Aaron Charpentier, DDS

  • Dentist
  • Tucson, AZ
National Provider Identifier
1598311565
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010458 Issued in AZ
Practice address
7475 W Twin Peaks Rd Ste 111
Tucson, AZ 85743-1534
Phone
(520) 579-1500
NPI assigned
Aug 14, 2019
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D010458 AZ Primary
General Practice Dentistry 1223G0001X D010458 AZ

Addresses

Primary practice location

7475 W Twin Peaks Rd Ste 111
Tucson, AZ 85743-1534

Mailing address

7283 W Opossum Dr
Tucson, AZ 85743-8939
Phone (602) 710-0573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191008003694 AZ Order and Referring Only - DentistPractitioner - Dentist 1759612518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D010458AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Peaks Dental Partners LLC General Practice CurrentSince May 7, 2024 Accepting new patients
Miramonte Dental Group, LLP General Practice PastSince Aug 1, 2019 Accepting new patients

Locations

7475 W Twin Peaks Rd
Ste 111
Tucson, AZ 85743
Phone (520) 579-1500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1598311565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7283 W OPOSSUM DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857438939",
            "telephone_number": "602-710-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 W TWIN PEAKS RD STE 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857431534",
            "telephone_number": "520-579-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARPENTIER",
        "first_name": "AARON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010458",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.